| NPI | 1285524066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY KUIT Therapist 626-321-7796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |